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STAMFORD OFFICE
203.323.1770
NEW CANAAN OFFICE
203.972.5232

SCHOOL &
CAMP FORMS

Allow 3-5 business days for form completion. If you would like your forms to be mailed, please provide a stamped, addressed envelope; otherwise plan to pick them up. Forms cannot be faxed to schools or camps.

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SCHOOL & CAMP FORMS

CAMP, SCHOOL,& ALLERGY PROTOCOL FORMS To efficiently manage the enormous volume of school, camp and allergy protocol forms, we ask that parents complete the following prior to submitting  forms:
  • Patient information/demographics
  • Allergies (include Allergist Protocol if applicable)
  • Chronic medical conditions
  • Past surgery or hospitalization
  • Daily medications (name and dosage)
  • Restrictions in diet or physical activity
Allergy protocol, school and camp form fees may be paid upon submission or pick-up: $10.00 per form per patient, or $20.00 for two or more forms when submitted simultaneously.

SCHOOL &
CAMP FORMS

Allow 3-5 business days for form completion. If you would like your forms to be mailed, please provide a stamped, addressed envelope; otherwise plan to pick them up. Forms cannot be faxed to schools or camps.

SCHOOL & CAMP FORMS

CAMP, SCHOOL,& ALLERGY PROTOCOL FORMS To efficiently manage the enormous volume of school, camp and allergy protocol forms, we ask that parents complete the following prior to submitting  forms:
  • Patient information/demographics
  • Allergies (include Allergist Protocol if applicable)
  • Chronic medical conditions
  • Past surgery or hospitalization
  • Daily medications (name and dosage)
  • Restrictions in diet or physical activity
Allergy protocol, school and camp form fees may be paid upon submission or pick-up: $10.00 per form per patient, or $20.00 for two or more forms when submitted simultaneously.
“You can learn many things
from children. How much
patience you have, for
instance.”
- Franklin P. Jones

STAY INFORMED

Sign up for email alerts, and our news.
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